| NPI | 1588899603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60332089) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A127085) |
| 207P00000X Emergency Medicine (Licence: MD D71542) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-04-21 |